Provider Demographics
NPI:1477087393
Name:PREFERRED PAIN ASSOCIATES OF ALABAMA, PC
Entity Type:Organization
Organization Name:PREFERRED PAIN ASSOCIATES OF ALABAMA, PC
Other - Org Name:PREFERRED PAIN ASSOCIATES OF ALABAMA
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LUC
Authorized Official - Middle Name:
Authorized Official - Last Name:FRENETTE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:205-508-2300
Mailing Address - Street 1:5057 PINNACLE SQ
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35235-3216
Mailing Address - Country:US
Mailing Address - Phone:205-508-5300
Mailing Address - Fax:205-508-5552
Practice Address - Street 1:5057 PINNACLE SQ
Practice Address - Street 2:
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35235-3216
Practice Address - Country:US
Practice Address - Phone:205-508-5300
Practice Address - Fax:205-508-5552
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-04-18
Last Update Date:2021-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain MedicineGroup - Single Specialty